| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $252.45 | $252.45 | $252.45 |
Aetna
| Professional | $261.56 | $301.86 | $410.19 | |
Anthem BCBS
| Professional | $294.88 | $393.14 | $570.86 | |
Cigna
| Professional | $309.47 | $401.60 | $692.56 | |
Kaiser Permanente
| Professional | $274.70 | $384.58 | $686.75 | |
Kaiser Permanente
| Professional | 26 | $227.43 | $318.39 | $552.00 |
United
| Professional | $304.51 | $423.04 | $617.19 |